手助腹腔镜根治性肾切除术21例报告  

Hand-assisted laparoscopic radical nephrectomy

作　　者：邢金春[1] 陈斌[1] 王惠强[1] 刘荣福[1] 张开颜[1] 庄炫[1] 叶友新[1] 杨宇峰[1] 周鑫[1] 郑嘉欣[1] 陈实新[1] 周中泉[1] 

机构地区：[1]福建医科大学附属厦门第一医院泌尿外科,福建厦门361003

出　　处：《中国内镜杂志》2007年第1期34-35,共2页China Journal of Endoscopy

摘　　要：目的探讨手助腹腔镜根治性肾切除术的临床应用价值。方法采用手助腹腔镜根治性肾切除治疗肾肿瘤21例。结果21例手助腹腔镜手术均成功。手术时间80￣150min,平均110min;术中出血20￣300mL,平均85mL;病理报告均为肾细胞癌(透明细胞癌20例,乳头状细胞癌1例);术后住院时间5￣14d,平均8d。结论采用手助腹腔镜根治性肾切除治疗肾肿瘤是安全有效的,与开放手术相比,具有损伤小、痛苦少、出血少、术后恢复快等优点。[Objective] To evaluate the role offhand-assisted laparoscopic radical nephrectomy. [Methods] Hand-assisted laparoscopic radical nephrectomy was performed on 21 patients with renal tumors. [Results] 21 cases nderwent hand-asslsted laparoscopic radical nephrectomy. The mean surgical time was 110 min （ range 80- 150min）, and the mean estimated blood loss was 85 （range 20~300 mL）. The final pathologic report revealed renal cell carcinoma in 21. The mean postoperative hospitalization was 8 days（range 5-14days）. [Conclusions] Hand-assisted laparoscopic nephrectomy is an effective, minimally invasive alternative surgical technique for renal tumors with less pain, less blood loss, faster recovery compared with open surgery .

关 键 词：肾肿瘤 腹腔镜 根治性肾切除术 

分 类 号：R737.11[医药卫生—肿瘤]